PDF(Pubmed)
Abstract：
UNASSIGNED: We describe the communication challenges of four patients with a neurodegenerative disorder consistent with behavioral variant frontotemporal dementia (bvFTD), characterized by early behavioral and personality changes. By describing their clinical profiles, we identify common barriers to functional communication in this population and provide recommendations for how speech-language pathologists (SLPs) might contribute to minimizing them.
UNASSIGNED: Four patients with bvFTD were selected from a cohort of patients with progressive communication impairments. Three of them returned for at least one follow-up visit. Case histories are presented along with the results of comprehensive speech and language, neuropsychological, and neurological testing.
UNASSIGNED: At the time of initial evaluation, patients were between the ages of 54 and 66 years and had been experiencing symptoms for 1.5-6 years. Consistent with their bvFTD diagnoses, all patients had prominent behavioral and personality changes that impacted communication. Patients 1 and 2 also had mild aphasia at enrollment, primarily characterized by anomia and loss of word meaning. Patients 3 and 4 both had apraxia of speech and moderate-to-severe aphasia at enrollment with prominent anomia and agrammatism. All four patients had impaired executive functioning and relative sparing of visuospatial skills; episodic memory was also impaired for Patients 2 and 4. Even though functional communication was progressively limited for all patients, none of them received regular support from an SLP.
UNASSIGNED: This case series adds to a scant, but growing, literature demonstrating that patients with bvFTD have communication impairments. SLPs are uniquely positioned to identify barriers to functional communication and to provide tailored strategy training to the patients and their care partners over the course of their disease. Systematic evaluation of the efficacy of treatment in this population would be valuable.
UNASSIGNED: https://doi.org/10.23641/asha.25933762.
UNASSIGNED: Four patients with bvFTD were selected from a cohort of patients with progressive communication impairments. Three of them returned for at least one follow-up visit. Case histories are presented along with the results of comprehensive speech and language, neuropsychological, and neurological testing.
UNASSIGNED: At the time of initial evaluation, patients were between the ages of 54 and 66 years and had been experiencing symptoms for 1.5-6 years. Consistent with their bvFTD diagnoses, all patients had prominent behavioral and personality changes that impacted communication. Patients 1 and 2 also had mild aphasia at enrollment, primarily characterized by anomia and loss of word meaning. Patients 3 and 4 both had apraxia of speech and moderate-to-severe aphasia at enrollment with prominent anomia and agrammatism. All four patients had impaired executive functioning and relative sparing of visuospatial skills; episodic memory was also impaired for Patients 2 and 4. Even though functional communication was progressively limited for all patients, none of them received regular support from an SLP.
UNASSIGNED: This case series adds to a scant, but growing, literature demonstrating that patients with bvFTD have communication impairments. SLPs are uniquely positioned to identify barriers to functional communication and to provide tailored strategy training to the patients and their care partners over the course of their disease. Systematic evaluation of the efficacy of treatment in this population would be valuable.
UNASSIGNED: https://doi.org/10.23641/asha.25933762.
摘要：
■我们描述了四名患有与行为变异额颞叶痴呆（bvFTD）一致的神经退行性疾病的患者的沟通挑战，以早期行为和人格变化为特征。通过描述他们的临床资料，我们确定了这一人群中常见的功能性沟通障碍,并就言语-语言病理学家(SLP)如何帮助减少这些障碍提供了建议.
■从一组进行性沟通障碍患者中选择四名bvFTD患者。其中三人返回进行至少一次后续访问。案例历史与综合语音和语言的结果一起呈现，神经心理学，和神经测试。
■在初步评估时，患者年龄在54~66岁之间,症状持续1.5~6年.与他们的bvFTD诊断一致，所有患者均有显著的行为和人格变化,影响了沟通.患者1和2在登记时也有轻度失语，主要特征是词义失范和丧失。患者3和4在入院时都有言语失用症和中度至重度失语症，并伴有明显的失语症和语法障碍。所有四名患者的执行功能均受损，视觉空间技能相对较少；患者2和4的情景记忆也受损。尽管所有患者的功能沟通逐渐受到限制，他们都没有得到SLP的定期支持。
■这个案例系列增加了一个但成长，文献表明bvFTD患者存在沟通障碍。SLP具有独特的定位，可以识别功能沟通的障碍，并在疾病过程中为患者及其护理伙伴提供量身定制的策略培训。对该人群的治疗效果的系统评估将是有价值的。
■https://doi.org/10.23641/asha.25933762。
■从一组进行性沟通障碍患者中选择四名bvFTD患者。其中三人返回进行至少一次后续访问。案例历史与综合语音和语言的结果一起呈现，神经心理学，和神经测试。
■在初步评估时，患者年龄在54~66岁之间,症状持续1.5~6年.与他们的bvFTD诊断一致，所有患者均有显著的行为和人格变化,影响了沟通.患者1和2在登记时也有轻度失语，主要特征是词义失范和丧失。患者3和4在入院时都有言语失用症和中度至重度失语症，并伴有明显的失语症和语法障碍。所有四名患者的执行功能均受损，视觉空间技能相对较少；患者2和4的情景记忆也受损。尽管所有患者的功能沟通逐渐受到限制，他们都没有得到SLP的定期支持。
■这个案例系列增加了一个但成长，文献表明bvFTD患者存在沟通障碍。SLP具有独特的定位，可以识别功能沟通的障碍，并在疾病过程中为患者及其护理伙伴提供量身定制的策略培训。对该人群的治疗效果的系统评估将是有价值的。
■https://doi.org/10.23641/asha.25933762。
